Organization
BLUE RIDGE HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TUNJI ISAAC OGUNMOLA MSW (PRESIDENT)
(646) 963-6112
Entity
Organization
Contact information
Practice address
1059 FULTON ST, BROOKLYN, NY 11238-2511
(646) 963-6112
(646) 963-6114
Mailing address
1059 FULTON ST, BROOKLYN, NY 11238-2511
(646) 963-6112
(646) 963-6114
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/25/2020
Last updated
06/06/2024
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